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While most physicians train in a VA setting, further information about non-VA training settings would allow better understanding of how VA experience compares to the other sites where fellows train.
Thus far, it appears that the only studies showing statistically equal stage-adjusted survival between Blacks and Whites are those done in a VA setting [ 4, 73], suggesting that there may be attributes of the VA system (equal access to screening and treatment, uniform treatment) or its population (similar SES, equal utilization) that are unique from the general population.
In response to the scandal, Congress passed a bipartisan $16.3 billion bill to overhaul the VA, setting aside $10 billion to allow veterans to seek private medical care in certain circumstances.
Although Dr. Kulley does not have personal experience in military service, he has worked with veterans and mental health issues in a VA setting previously.
The health-disparity risk factors impacting the African American community as a whole may also apply within the VA setting.
Due to the cross-sectional nature of this study, we are unable to draw any conclusions regarding the causality of any associations seen in the study and the population described in this study consists exclusively of veterans who are predominantly male, white and over 50 years old, which may not reflect the demographic characteristics of these disorders outside the VA setting.
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(d) VA may furnish a drug or medicine under this section and under § 17.96 of this chapter by having the drug or medicine delivered to the State home in which the veteran resides by mail or other means and packaged in a form that is mutually acceptable to the State home and to VA set forth in a written agreement.
With attributes a ∈ A we associate a set Va (value set) called the domain of a.
The cut-off value vas set at -1.0, but a sensitivity analysis, using the cut-offs of -0.5 and -1.5 was also performed, and the results were qualitatively confirmed (not reported in details).
Others saw PMAs as patient navigators able to orient patients to PACT and the VA by setting up appointments, directing patients to pharmacists or other resources.
Recently, we have been working on a longitudinal study of the trajectory of HbA1c control in patients with type2 diabetes treated within the Veterans Administration (VA) healthcare setting, and we have been faced with the problem of fitting GLMMs on over 890,000 patients, clustered in 23 Veterans Integrated Service Networks (VISNs) and followed over 5 years.
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